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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: //f "r. /9Z-5 Oa ry' yftc/go /j�(9Q(l Permit No.: Z9/7'dd 7Z <br /> Description of work: fOG,r// 1 /141; $12/4f Date Rec'd: <br /> Septic review by: Date Approved: <br /> Zoning review by: p...,,,4/ <br /> Date Approved: <br /> Building review by: l J Date Approved: .2///// <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution I NA <br /> Zoning: Lot Area: SF 'C Width: % Structural Coverage: SF <br /> Survey Submitted: 0 Yes 0 No Date of,tirvey: Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: 0 No I None proposed <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Height Analysis: ' <br /> Distance Between First oor and defined Top of (a) <br /> Roof* (See "building he' t" definition): <br /> First Floor Elevation (f om •uilding plans): (b) <br /> Highest Existing gro d le -1 (per survey) or 10' (c) <br /> above lowest group level, hichever is lower: <br /> Difference betwee (b) and ic): (d) <br /> DEFINED HEIGHT If ighest existing grade is: (e) <br /> above FFE-Height i (a)-(d) <br /> below FFE-Height i (a)+(d) — <br /> Shoreland District /MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Permit N mber: 0 Yes 0 No 0 N/A 0 Yes 0 <br /> 0 Yes 0 No No <br /> 0 N/A see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) (% and sf) (% and sf) <br /> 0 Yes 0 No 0 Yes 0 No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />